Dissertation thesis on myocardial infarction

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Background: Cardiovascular disease CVD remains the leading cause of morbidity and mortality in the U. Acute myocardial infarction AMI , with or without ST-segment elevation, is a common presentation of coronary heart disease and affected more than , American adults in The overall goal of this dissertation was to examine decade-long trends in the extent of delay in the receipt of a primary percutaneous coronary intervention PCI among patients hospitalized with ST-segment elevation myocardial infarction STEMI , day hospital readmission rates in patients having survived an AMI, and multiple decade long trends in 1-year post-hospital all-cause mortality, as well as factors associated with these outcomes, among patients hospitalized with AMI. Methods: Data from the Worcester Heart Attack Study, a population-based chronic disease surveillance project that has been carried out among adult residents of the Worcester, MA, metropolitan area, hospitalized with AMI on a biennial basis from through at all medical centers in central MA, were used for this dissertation.
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